Presentation
Middle aged patient with acute right sided hemiplegia, which commenced 10 hours previously.
Patient Data
Age: 55 years
Gender: Male
From the case:
Acute middle cerebral artery territory infarct
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/58283/annotated_viewer_json?lang=us"}
Diffuse low attenuation in the left temporal and parietal lobes, with sparing of the basal ganglia.
The M2 and M3 segments of the left middle cerebral artery are hyperdense with the cerebral dot sign in the left Sylvian fissure.
No hemorrhage.
From the case:
Acute middle cerebral artery territory infarct
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/58299/annotated_viewer_json?lang=us"}
Red arrows indicate the hyperdense MCA and the MCA dot signs.
Case Discussion
Classic appearances of an acute MCA territory infarct with two signs of a thrombosed cerebral artery:
- the hyperdense artery sign
- cerebral dot sign
Unable to process the form. Check for errors and try again.